Gaitonde H.*, Godbole M., Singh M. and Vaidya Rohit Mehta


Sandhigata Vata is one among the Vata Vyadhi affecting the locomotor system by deranging the major joints of the body presenting with Sandhi Shoola, Sandhi Shotha, Prasarana Akunchana Vedana and Sandhi Atopa. In modern parlance, it simulates Osteoarthritis, the prevalence of which is 80% at the age of 65 years. Bahya Snehana and Swedana are two important treatment modalities of choice in diseases pertaining to Vata. Upanaha is mentioned as the specific line of treatment in the context of Sandhigata Vata Chikitsa. Salvana Upanaha is a form of Sweda performed using Amla, Snigdha, Gandha pradhana Vatahara Dravyas which is mentioned to be beneficial in Vata vyadhi. So, the present study was planned to evaluate the therapeutic efficacy of Salvana Upanaha Sweda with and without Abhyanga in Janu Sandhigata Vata w.s.r. to OA of Knee Joint. The present study is a single blind comparative clinical study with pre - test and post - test design where in 40 patients of either sex diagnosed as Janu Sandhigatavata w.s.r. to OA were randomly assigned into two groups comprising of 20 patients in each. The patients in Group A were subjected to Sthanika Abhyanga with Ksheera Bala Taila followed by Salvana Upanaha where as the patients in Group B were subjected to Salvana Upanaha alone without Abhyanga which was retained for 12 hrs over night and the same was done for 7 Consecutive days. The overall observation in the study revealed that the maximum patients were of VataKaphaja Prakruti, females in the age group of 51 – 60 years belonging to middle class presenting with Bilateral Osteoarthritis of the Knee Joint. The overall effect of treatment in Janu Sandhigata Vata w.s.r. to OA has shown statistically highly significant result with in both the groups. But, by taking into account the t value of both the groups which revealed that the patients in Group A treated with Sthanika Abhyanga and Salvana Upanaha showed comparatively better results than the patients in Group B treated with only Salvana Upanaha without Abhyanga. The present study revealed that the combined effect of Bahya Snehana in the form of Sthanika Abhyanga and Swedana in the form of Salvana Upanaha is found beneficial in treating Sandhigata Vata.

Keywords: Sandhigata Vata, Salvana Upanaha, Sthanika Abhyanga, Osteoarthritis.

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